Khadilkar Suvarna Satish
Bombay Hospital and Medical Research Centre, 12 New Marine Line, Mumbai, 400020 India.
J Obstet Gynaecol India. 2019 Jun;69(3):197-202. doi: 10.1007/s13224-019-01235-1. Epub 2019 May 15.
Obesity in pregnancy is associated with several complications which today's obstetricians have to face often. Overcoming these obstacles is truly challenging. There is a steady rise in incidence of overweight or obese women at reproductive age group in India and as well as other countries. Recent advances in bariatric medicine as well bariatric surgery have led to increasing number of pregnancies in obese women. Since obesity is associated with adverse maternal and fetal outcome, it is considered as a high-risk pregnancy and such pregnancies need to be managed in maternity units which are well equipped with necessary infrastructure and availability of expert multidisciplinary faculty. This editorial will look into various challenges and difficulties faced by obstetricians and provide practical tips for managing obese pregnant women. We are introducing a new type of article "Invited Debate," with this issue. It deals with pros and cons of bariatric surgery. I sincerely hope that readers are benefitted from views and reviews presented in the invited debate as well as the editorial.
孕期肥胖与多种并发症相关，如今的产科医生常常需要面对这些情况。克服这些障碍极具挑战性。在印度以及其他国家，育龄期超重或肥胖女性的发病率呈稳步上升趋势。减肥医学以及减肥手术的最新进展导致肥胖女性怀孕的数量不断增加。由于肥胖与不良的母婴结局相关，所以它被视为高危妊娠，此类妊娠需要在配备了必要基础设施且有专家多学科团队的产科病房进行管理。这篇社论将探讨产科医生面临的各种挑战和困难，并提供管理肥胖孕妇的实用建议。在本期中，我们将推出一种新型文章“特邀辩论”。它讨论了减肥手术的利弊。我真诚地希望读者能从特邀辩论以及社论中呈现的观点和评论中受益。
